Office of Licensure
The DDA Office of Licensure functions to protect the interest of tax-paying citizens against unlicensed service providers, unsafe environments, inadequate education and training of personnel, physical and mental abuse and any unscrupulous acts deemed detrimental to the treatment and general welfare of persons with intellectual and developmental disabilities. This also includes those in need of personal support services.
Operating out of three regional offices -one in each grand region of the state, licensure staff:
- Conduct unannounced inspections and follow-up inspections of licensed facilities
- Develop the supporting documents needed to issue licenses
- Ensure reports of wrong-doing and/or deficiency in operation of a facility or service are investigated (scrutinized or examined). Maintain current files and appropriate records for all facilities and services licensed by the department
- Provide consultation and technical assistance as needed to licensed and proposed programs
Please contact designated Licensure staff as follows to:
- Report suspected violations of licensure rules
- Submit formal or general complaints about any licensed service or facility
- Request a courtesy consultation
- Receive a fees invoice
Regional Surveyors
| West | Middle | East |
|---|---|---|
Lisa Wilson Brittney Hill
|
Tabitha Johnson Gidgett Jones Bridgett Bunch |
Shannon Wallin Jerita Barkley
|
Licensure & Review Resources
Forms
Initial Application Packet: DDA Licensure Initial Application
DDA Licensure Financial Statement Form
DDA Licensure Board of Directors - Advisory Board Form
DDA Licensure Fact Sheet - Business Office with Services
DDA Licensure Fact Sheet - Individually Licensed Locations
Renewal Application Packet: DDA Licensure Renewal Application
DDA Licensure Financial Statement Form
DDA Licensure Board of Directors - Advisory Board Form
Additional Form(s): DDA Licensure Change of Status Form